| NPI | 1891048856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307307) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 700509) |
| 163W00000X Registered Nurse (Licence: CO 1626500) | |
| 363L00000X Nurse Practitioner (Licence: CO 0991311) | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2019-06-27 |