| NPI | 1164025672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431739) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 701776) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 431739) | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2021-01-18 |