| NPI | 1689115057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 465808-1) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F303981-1) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |