| NPI | 1467099283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012140) |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2024-10-11 |