| NPI | 1487723797 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430233) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303963) | 
| Enumeration Date | 2006-11-08 | 
| Last Update Date | 2022-09-16 |