| NPI | 1366179889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 432267) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F432267-01) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-12-19 |