| NPI | 1205392339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F432672) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AK 173877) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2023-11-07 |