| NPI | 1063482149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F332249-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 332249) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NY 332249) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-05-20 |