| NPI | 1396275640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342647) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 693415) |
| 163W00000X Registered Nurse (Licence: NJ 26NR17748700) | |
| 163W00000X Registered Nurse (Licence: CT 182918) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 10146) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-01-11 |