| NPI | 1235268608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 43 430297) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 33 334867) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: MD R145292) | |
| 363LF0000X Nurse Practitioner Family (Licence: MD R145292) | |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2015-09-03 |