| NPI | 1689804726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9421795) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420288) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 360272) | |
| 363L00000X Nurse Practitioner (Licence: MN 10723) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301571) | |
| 363L00000X Nurse Practitioner (Licence: MA 2323347) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2024-09-01 |