| NPI | 1649963182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 352040F) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 672944) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-10-26 |