| NPI | 1346681640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 14803) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2025-05-20 |