| NPI | 1689952459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 342754) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95013644) |
| 363L00000X Nurse Practitioner (Licence: IL 209.021572) | |
| 363L00000X Nurse Practitioner (Licence: MA RN2352376) | |
| 363L00000X Nurse Practitioner (Licence: CO 990140) | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2023-07-14 |