| NPI | 1043694656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9330418) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9330418) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 341219) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2276169) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2025-05-04 |