| NPI | 1265713192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431632-01) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 2011003186) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2020-03-19 |