| NPI | 1003423203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2324080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH 083846-23) |
| 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ15356200) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY 352915) | |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2025-10-09 |