| NPI | 1447773635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431245-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717464-1) |
| 163W00000X Registered Nurse (Licence: NY 7174641) | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2021-07-07 |