| NPI | 1861931222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F431264) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 635300) |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2021-02-12 |