| NPI | 1992340608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308207) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-2645) |
| 363L00000X Nurse Practitioner (Licence: CO APN.1000196-NP) | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2024-10-30 |