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 |