| NPI | 1568224251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2296505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F353037-01) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2025-03-25 |