| NPI | 1053928747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431845) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: NY 431845) |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2020-10-06 |