| NPI | 1780820761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1015543) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 476573-1) |
| 163W00000X Registered Nurse (Licence: VA 0001199511) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303367) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024166937) | |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2009-02-25 |