| NPI | 1861886582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1048276) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1048276) |
| 163W00000X Registered Nurse (Licence: NY 690102) | |
| 163W00000X Registered Nurse (Licence: MD R217053) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307633) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R217053) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DC RN1048276) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R217053) | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2018-05-02 |