| NPI | 1902978398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334078) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2301436) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH EL03191) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2024-01-08 |