| NPI | 1568698447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344173) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 765380) |
| 163W00000X Registered Nurse (Licence: CA 594468) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP14015) | |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2020-12-18 |