| NPI | 1215282439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2270313) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1049355) |
| 363LF0000X Nurse Practitioner Family (Licence: MA RN2270313) | |
| 163W00000X Registered Nurse (Licence: MA RN2270313) | |
| Enumeration Date | 2012-07-14 |
| Last Update Date | 2024-04-05 |