| NPI | 1285925701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305620) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R193845) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1022201) | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2014-08-15 |