| NPI | 1700020963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 543793) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2019-07-17 |