| NPI | 1760620454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 30573) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2005008795) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305288) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2019-01-16 |