| NPI | 1831623917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432989-01) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 021417) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2024-08-13 |