| NPI | 1558167684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432912) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 13257) |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |