| NPI | 1255598629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 005244) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 530419) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430397) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2023-04-04 |