| NPI | 1275002362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 144600) |
| 163W00000X Registered Nurse (Licence: NY 576127-1) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 8070) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2019-04-01 |