| NPI | 1609395698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432716) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 730427) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2023-09-22 |