| NPI | 1780008789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 337786) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F95014387) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2022-08-10 |