| NPI | 1952461139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 2308941) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F3601961) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |