| NPI | 1801368782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2285121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F3428661) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2023-07-14 |