| NPI | 1164804100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307295) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2361736) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP251859) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71016273A) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 16469) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010863) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ15360300) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2026-02-28 |