| NPI | 1235605734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2351911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342702) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2022-01-25 |