| NPI | 1023533197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431474) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9339781) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2019-11-26 |