| NPI | 1578904744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33338633) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 833556) |
| 163W00000X Registered Nurse (Licence: NJ 26NR17280100) | |
| 163W00000X Registered Nurse (Licence: PA RN657785) | |
| 163W00000X Registered Nurse (Licence: NY 22 657365) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95001767) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2015-03-20 |