| NPI | 1538764105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F346145-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017917) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2021-08-23 |