| NPI | 1104443886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 304341) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2306416) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2021-09-01 |