| NPI | 1518373893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 22 657179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704310042) |
| 163W00000X Registered Nurse (Licence: VA 0001250708) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 33 339359) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2021-04-01 |