| NPI | 1053063115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432285) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 2021119042) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-06-15 |