| NPI | 1528549086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343303) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2361881) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2024-01-17 |