| NPI | 1093475253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 432172) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 432172) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2022-05-23 |