| NPI | 1548696560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430727) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F430727-1) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2026-09-04 |