| NPI | 1063097772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 355054) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95016432) |
| 363L00000X Nurse Practitioner (Licence: HI APRN-3158-0) | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2025-04-14 |