| NPI | 1225507296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308954-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN634718) |
| 363L00000X Nurse Practitioner (Licence: PA SP019814) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP019814) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2022-07-27 |