| NPI | 1659889970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308615) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 648662) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN310935) | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2024-06-14 |