| NPI | 1689347031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310430-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 569473) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NJ 26NR12364600) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310430) | |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2024-07-26 |