| NPI | 1538722772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 10470) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431134-1) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431134-1) | |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2023-03-31 |