| NPI | 1508309774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F311794) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019912) |
| 363L00000X Nurse Practitioner (Licence: CT 9652) | |
| 363L00000X Nurse Practitioner (Licence: MD R231763) | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2024-07-11 |