| NPI | 1205142726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN271625) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MA 271625) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311732) | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2024-12-05 |