| NPI | 1922048073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2269965) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F333230-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 002938) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2021-03-03 |