| NPI | 1669922589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345904) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6710) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2300061) | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2024-01-17 |