| NPI | 1447847199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431953) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 648627) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2021-12-12 |