| NPI | 1760116719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 432898) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2348092) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2026-02-25 |