| NPI | 1144627449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 307170) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95001670) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307170) | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2024-02-06 |