| NPI | 1932820107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432287-01) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NY F432287-01) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |