| NPI | 1871594788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN10019601) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F332392) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 002122) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2025-02-20 |