| NPI | 1447768742 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308415)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 308415)  | 
| Enumeration Date | 2018-01-21 | 
| Last Update Date | 2023-06-29 |