| NPI | 1114457447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2353002) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717285-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F342679) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-11-16 |