| NPI | 1063414837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F 302223-1) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F302223-1) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2016-12-06 |