| NPI | 1528583176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 7235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0070599) |
| 363L00000X Nurse Practitioner (Licence: CT AG08170059) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: DE LP-0010582) | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2023-05-12 |