| NPI | 1386078970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NY F335867) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335867) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2018-09-24 |