| NPI | 1366448151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F302011) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NY F302011) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2011-11-02 |