| NPI | 1609217595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F430795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 542197) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2014-06-23 |