| NPI | 1861677023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02094) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95022452) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 335135) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2023-09-25 |