| NPI | 1285217596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348460) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017239) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2023-09-26 |