| NPI | 1164952297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431255) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 718247) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2020-03-27 |