| NPI | 1356574982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn320820) |
| 163W00000X Registered Nurse (Licence: FL RN9272682) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH Aprn.cnp.019940) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2378932) | |
| 163W00000X Registered Nurse (Licence: MD R179770) | |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2024-07-26 |