| NPI | 1750862249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343168) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 664205) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 146239) | |
| 163W00000X Registered Nurse (Licence: CA 797766) | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2025-09-29 |