| NPI | 1518487487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NY 341801) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 341801) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2019-08-29 |