| NPI | 1023532371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 431163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 646131) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2019-04-18 |