| NPI | 1932571098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337756) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 084883) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 5774) | |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2019-10-07 |