| NPI | 1003347253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431104) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 694059) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |