| NPI | 1306262688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430898) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 668766) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2018-03-17 |