| NPI | 1033549837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2304425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338325-1) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2020-07-20 |