| NPI | 1063994515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 431336) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95011371) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2024-11-18 |