| NPI | 1063024289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347173) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2335897) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2335897) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2022-07-11 |