| NPI | 1952849648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7390-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 633388-1) |
| 163W00000X Registered Nurse (Licence: WI 231993) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F340921) | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2019-05-30 |