| NPI | 1790453397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432056) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 432056) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2023-12-05 |