| NPI | 1306357017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348291) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95007428) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2021-09-17 |