| NPI | 1538402367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R228061) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 450058) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430272) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R228061) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306288) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2018-01-03 |