| NPI | 1992875710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0106X Registered Nurse Occupational Health (Licence: NY 242881) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 300142) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |