| NPI | 1417041427 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F301503-1) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 301503) | 
| Enumeration Date | 2006-10-03 | 
| Last Update Date | 2023-07-05 |