| NPI | 1841569613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421014-1) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 582107-1) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 582107-1) | |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-28 |