| NPI | 1932112778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302361) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 375214) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2013-04-22 |