| NPI | 1407290984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430710) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 05990) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2016-05-31 |