| NPI | 1881008639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 815677) |
| 363L00000X Nurse Practitioner (Licence: CA 95006867) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2024-09-27 |