| NPI | 1962787945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 336260) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 414813-1) |
| 363LF0000X Nurse Practitioner Family (Licence: NY F336260-1) | |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: NY 414813-1) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2017-04-28 |