| NPI | 1760884407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2364574) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007229) |
| 363L00000X Nurse Practitioner (Licence: TX 1006450) | |
| 363L00000X Nurse Practitioner (Licence: IL 209025375) | |
| 363L00000X Nurse Practitioner (Licence: CA 95017062) | |
| 363L00000X Nurse Practitioner (Licence: NY 346865) | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2025-02-06 |