| NPI | 1790573764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F312310-01) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 700851-01) |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-08-18 |