| NPI | 1902146889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 661107-1) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173182) | |
| 163W00000X Registered Nurse (Licence: VA 0001240893) | |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2016-05-23 |