| NPI | 1902304132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 431220) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NY 431220) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431220) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-06-29 |