| NPI | 1649018847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 111923-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311792) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NH EL31332) | |
| Enumeration Date | 2024-07-20 |
| Last Update Date | 2024-08-21 |