| NPI | 1730917600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432988) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 856944) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |