| NPI | 1033261532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2315040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 16502) |
| 363LF0000X Nurse Practitioner Family (Licence: RI APRN01738) | |
| 363LF0000X Nurse Practitioner Family (Licence: MA RN2315040) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-05-23 |