| NPI | 1841971025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 352547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025892) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-10-30 |