| NPI | 1154876555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431062) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 431062) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 11906) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2023-08-28 |