| NPI | 1750881371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2290415) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 353760) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 11470) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2025-06-17 |