| NPI | 1851039200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432483-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 172972) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-10-31 |