| NPI | 1184342685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350368) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704357600) |
| 163W00000X Registered Nurse (Licence: NJ 26NR24369800) | |
| 163W00000X Registered Nurse (Licence: NC V8YYRDXF) | |
| 163W00000X Registered Nurse (Licence: NY 852886) | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-09-14 |