| NPI | 1285296624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354831) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2019044686) |
| Enumeration Date | 2019-07-06 |
| Last Update Date | 2024-08-06 |