| NPI | 1124763941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432428) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: MA 2344742) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2023-04-02 |