| NPI | 1720527211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2320294) |
| 163W00000X Registered Nurse (Licence: NY 7181751) | |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2023-11-27 |