| NPI | 1679187736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NY 431872) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 025677) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-11-30 |