| NPI | 1750961017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351801) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041.437483) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R253460) | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-06-23 |