| NPI | 1962630657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430467) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F430467) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2017-04-21 |