| NPI | 1043694656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2276169) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9330418) |
| 363LF0000X Nurse Practitioner Family (Licence: NY 341219) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2024-04-24 |