| NPI | 1700603149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 802289) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 357466) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2025-09-03 |