| NPI | 1396483764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11014809) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033019) |
| 363L00000X Nurse Practitioner (Licence: NY 352274) | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2025-11-26 |