| NPI | 1578010609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341735) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 731395) |
| 163W00000X Registered Nurse (Licence: CT 111168) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 6709) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 243310) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2024-05-16 |