| NPI | 1396209995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308712-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01257000) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11007332) | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2024-06-05 |