| NPI | 1295298933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 8245) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 349024) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2363345) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2025-03-14 |