| NPI | 1225367022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: NY F350077-1) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: ND R45745) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2020-09-11 |