| NPI | 1881133353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342706) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 676099) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95015245) | |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2024-09-13 |