| NPI | 1376903112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 22559811) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 30306297) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340874) | |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |