| NPI | 1417537861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 809896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95082022) |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2024-06-07 |