| NPI | 1023423126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R40124) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R40124) |
| 163W00000X Registered Nurse (Licence: MA RN228489) | |
| 163W00000X Registered Nurse (Licence: NY RN615775) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |