| NPI | 1265074124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 769992-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 769992-1) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-12-18 |