| NPI | 1427682111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013098) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2021-02-26 |