| NPI | 1548042567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F351944-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0073547) |
| 163W00000X Registered Nurse (Licence: MD R268472) | |
| 363L00000X Nurse Practitioner (Licence: DE LG-0012756) | |
| 363L00000X Nurse Practitioner (Licence: MD R268472) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012756) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R268472) | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2024-09-04 |