| NPI | 1003540188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350392) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 718715) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 10815) | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2023-09-28 |