| NPI | 1962383356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 433442) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY N03578) |
| 163W00000X Registered Nurse (Licence: NC 337691) | |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-10-04 |