| NPI | 1720663461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346638) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 10911) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2022-08-30 |