| NPI | 1841960655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310483) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95202298) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2022-03-16 |