| NPI | 1750610713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 301649) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 398814) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2015-03-27 |