| NPI | 1851647754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33337528) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA APRN10003844) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 114491-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04997) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 14853) | |
| Enumeration Date | 2012-07-28 |
| Last Update Date | 2026-03-03 |