| NPI | 1841990843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357796) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2372771) |
| 163W00000X Registered Nurse (Licence: NY N08604) | |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2025-09-19 |