| NPI | 1144567561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306857) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010017617) |
| 163W00000X Registered Nurse (Licence: KS 112807) | |
| 163W00000X Registered Nurse (Licence: NY 22-534297) | |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2023-10-25 |