| NPI | 1376811976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 430630) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F430630-1) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2022-04-01 |