| NPI | 1831430149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337773) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 645376) |
| 163W00000X Registered Nurse (Licence: CT 159747) | |
| 163W00000X Registered Nurse (Licence: PA 778699) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 8174) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP029404) | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2025-05-21 |