| NPI | 1992147441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6990) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2024-01-29 |