| NPI | 1891832853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5002822) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5002822) |
| 363L00000X Nurse Practitioner (Licence: NY 301522) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 0050-02822) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 301522) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-06-15 |