| NPI | 1780114157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 715683-1) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 715683-1) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NJ 26NR16881300) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2019-10-03 |