| NPI | 1780023093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 33 338086) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 10213) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2021-12-06 |