| NPI | 1376824029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 005297) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 553440) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430613) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2022-09-19 |