| NPI | 1710416391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431272) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 722186-1) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-07-21 |