| NPI | 1104166420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306076) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 605444) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2023-10-11 |