| NPI | 1134401151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2315737) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305062) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420912) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2022-07-21 |