| NPI | 1821307646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311018-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP211393) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN276785) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN02561) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 084141-23) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704397659) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11021654) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7947) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2025-06-27 |