| NPI | 1518398775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 353973) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 280111) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2024-11-22 |