| NPI | 1063936482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432288) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342011) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2024-09-10 |