| NPI | 1225397805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F337372) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 606234) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2021-10-07 |