| NPI | 1205398286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346183) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 9806) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2025-02-16 |