| NPI | 1316468077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2358189) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1022069) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209023382) | |
| 163W00000X Registered Nurse (Licence: NY 647328) | |
| 163W00000X Registered Nurse (Licence: IL 041509943) | |
| 163W00000X Registered Nurse (Licence: MA RN2358189) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95020711) | |
| 163W00000X Registered Nurse (Licence: CA 95261646) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2024-02-23 |