| NPI | 1861403214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN15737L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 1975931) |
| 363A00000X Physician Assistant (Licence: NY 00022321) | |
| 363L00000X Nurse Practitioner (Licence: DC RN960459) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP000299C) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |