| NPI | 1093727661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 301760) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9301610) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP 9301610) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 301760) | |
| 163W00000X Registered Nurse (Licence: NY 224533) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2011-03-14 |