| NPI | 1548782139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 342665) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NY 702062) |
| 363LF0000X Nurse Practitioner Family (Licence: CT 011553) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2023-02-13 |