| NPI | 1992162978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2298425) |
| 163W00000X Registered Nurse (Licence: RI 54527) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2298425) | |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2025-02-21 |