| NPI | 1982254116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 310957) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95012843) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 310957) | |
| 363L00000X Nurse Practitioner (Licence: CA 95012843) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95012843) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 310957) | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2025-11-10 |