| NPI | 1750534129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 43 430419) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 43 430419) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2015-05-27 |