| NPI | 1295023638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 430608) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 575723) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |