| NPI | 1962653659 |
|---|---|
| Former Name | RENA NATALIE VAN BREUKELEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302733) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-14 |