| NPI | 1487137089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346709) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN211106) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2023-09-22 |