| NPI | 1538177910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430151-1) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 303444) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303444-1) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2023-07-17 |