| NPI | 1568033116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 093523-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F347660-01) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-06-17 |