| NPI | 1134574452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R23744) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 713494) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2023-08-01 |