| NPI | 1700316049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 730829) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY f432439-01) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-05-02 |