| NPI | 1073980207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9980) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00583300) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2311289) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2023-12-15 |