| NPI | 1538585559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 609523) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430902-1) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2016-06-10 |