| NPI | 1619690542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354977) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 11031) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-10-07 |