| NPI | 1669921813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11011268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717809) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431274) | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2022-07-21 |