| NPI | 1043544943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305156) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY F305156) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2020-03-17 |