| NPI | 1336679752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431241) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717792) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2023-04-12 |