| NPI | 1972205490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 799901) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-08-06 |