| NPI | 1578930152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430930) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95006254) |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2023-07-12 |