| NPI | 1912666819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351576) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019333) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2024-10-11 |