| NPI | 1346501012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308513) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2297969) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20810) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2025-05-15 |