| NPI | 1649724626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431005-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 685496-1) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |