| NPI | 1609446301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 112192-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347849) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 112192-23) | |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2024-11-01 |