| NPI | 1992353395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345834) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2322419) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2024-09-11 |