| NPI | 1356029375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F357536) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95290846) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95027357) | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-12-10 |