| NPI | 1376901595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307572) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421273) |
| 363L00000X Nurse Practitioner (Licence: MA RN2292036) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2026-04-29 |