| NPI | 1669910428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351633) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006046) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2025-06-27 |