| NPI | 1306252291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5778) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 351038) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2351030) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2025-03-12 |