| NPI | 1871271650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351493) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023808) |
| 163W00000X Registered Nurse (Licence: NY 867944) | |
| 163W00000X Registered Nurse (Licence: CA 95188219) | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-09-30 |