| NPI | 1518338250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307343-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 368007-1) |
| 163W00000X Registered Nurse (Licence: NY 672313-1) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.18501) | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2021-11-29 |