| NPI | 1982704649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN0800X Registered Nurse, Neuroscience (Licence: NY 258720-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F330227-1) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2007-07-08 |