| NPI | 1760973523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 431379) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 509143) |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2019-03-10 |