| NPI | 1700589181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F432588) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95024405) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-03-23 |