| NPI | 1720497977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 430742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 603005) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2016-03-22 |