| NPI | 1306030358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: DE LP-0000228) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP-0000228) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY 302441) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2021-04-16 |