| NPI | 1275834061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2311164) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 336548) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2023-11-27 |