| NPI | 1982004735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F306576) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NY 306576) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2021-02-18 |