| NPI | 1801402524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F346788-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015319) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2021-09-27 |