| NPI | 1659523215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 117302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 442958) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304881) | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2024-03-11 |