| NPI | 1417504721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 344699) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 113944-23) |
| 207R00000X Internal Medicine (Licence: NY f344699) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP033109) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-201314) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WV 120753) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11036722) | |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2025-11-05 |