| NPI | 1740243344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 332652) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 63373) |
| 363L00000X Nurse Practitioner (Licence: NV 838613) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2023-09-22 |