| NPI | 1730741976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 432246) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: NY 646312-1) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2023-05-05 |