| NPI | 1710112933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00879100) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000014367) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 3865) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432395-01) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000014367) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 3865) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310865-01) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2022-10-12 |