| NPI | 1710521232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431641) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 781276) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2022-08-29 |