| NPI | 1003512864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 433106) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 702594) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2024-09-17 |