| NPI | 1609282193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 674223) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN2046) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2322673) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2023-01-22 |