| NPI | 1134460371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431959-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 420654) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2023-02-06 |