| NPI | 1669842001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432827) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 705606-1) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2023-10-11 |