| NPI | 1225410921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 655839) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 655839) |
| 363L00000X Nurse Practitioner (Licence: NY 339952) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2023-11-27 |