| NPI | 1750655023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 826747) |
| 163WG0000X Registered Nurse, General Practice (Licence: MA RN2270710) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 22404) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2270710) | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2024-07-01 |