| NPI | 1669981635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431177-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 640940-1) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2019-12-30 |