| NPI | 1689948986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 6579) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 340065) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2270209) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP121049) | |
| Enumeration Date | 2012-03-04 |
| Last Update Date | 2024-09-25 |