| NPI | 1700262409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 6191) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 355192) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2376884) | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2025-03-14 |