| NPI | 1083025027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F431229-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F306803-1) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2024-09-20 |