| NPI | 1750034153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311136-01) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 519417) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2023-08-24 |