| NPI | 1881350130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345960) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2338877) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2023-04-25 |