| NPI | 1205513975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432632) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 757078) |
| 163W00000X Registered Nurse (Licence: NJ 26NR25039900) | |
| 163W00000X Registered Nurse (Licence: CA 95243378) | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-08-25 |