| NPI | 1972020253 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431157)  | 
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: NY F431157-1)  | 
| Enumeration Date | 2017-08-28 | 
| Last Update Date | 2024-11-25 |