| NPI | 1750029443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432322) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 432322) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2023-07-17 |