| NPI | 1912408956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F311572) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 899653) |
| 163W00000X Registered Nurse (Licence: NC 302826) | |
| 363L00000X Nurse Practitioner (Licence: NC 5010405) | |
| 363L00000X Nurse Practitioner (Licence: ME CNP231477) | |
| 363L00000X Nurse Practitioner (Licence: MD AC005840) | |
| 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-219122) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0034629) | |
| 363L00000X Nurse Practitioner (Licence: VT 101.0136456) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024188044) | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2025-01-22 |