| NPI | 1649890831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346591) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 790334) |
| 163WE0003X Registered Nurse, Emergency (Licence: NV RN95490) | |
| 163WE0003X Registered Nurse, Emergency (Licence: CA 830531) | |
| 363L00000X Nurse Practitioner (Licence: CA 95024033) | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-11-09 |