| NPI | 1609385582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308464) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 673911) |
| Enumeration Date | 2017-09-24 |
| Last Update Date | 2022-07-21 |