| NPI | 1881264166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346363) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2347464) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2022-08-23 |