| NPI | 1023569043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348443) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2389577) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9314780) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277003296) | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2024-10-09 |