| NPI | 1023461308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012870) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2299265) |
| 163W00000X Registered Nurse (Licence: NY 710873) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F340932-1) | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2024-10-15 |