| NPI | 1972618791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9311818) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 360346) |
| 163W00000X Registered Nurse (Licence: NY F302317 / 360346) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302317) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-05-03 |