| NPI | 1033536271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430875) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9323582) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9323582) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307153) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2015-03-17 |