| NPI | 1760669659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432891) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC5005854) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5004912) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 242218) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 268962) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2024-01-31 |