| NPI | 1275297533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2377702) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 779543) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 350617) | |
| Enumeration Date | 2021-10-23 |
| Last Update Date | 2023-08-03 |