| NPI | 1578113189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 431620) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F431620-01) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2022-09-13 |