| NPI | 1316673627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350732) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA F07221724) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2022-12-20 |