| NPI | 1952651317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430587-1) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 430587) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2023-07-07 |