| NPI | 1932221140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309499) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN243715) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 12.008576) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5012688) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2021-03-02 |