| NPI | 1851056568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP025136) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310307) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310307-0l) | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2022-12-20 |