| NPI | 1033684543 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 346151)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 14011)  | 
| 363L00000X Nurse Practitioner (Licence: TX AP138234)  | |
| Enumeration Date | 2018-10-11 | 
| Last Update Date | 2024-11-02 |