| NPI | 1780041848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180551) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 651820) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 2017010551) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 341996-1) | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2021-03-19 |