| NPI | 1255714069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334208) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 10128) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-11-01 |