| NPI | 1174821862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 587300) |
| 163W00000X Registered Nurse (Licence: CA 781803) | |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |