| NPI | 1710297718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F382002) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 525288) |
| Enumeration Date | 2010-10-09 |
| Last Update Date | 2017-09-18 |