| NPI | 1295760965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 302030-1) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 302030) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-07-05 |