| NPI | 1285036152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 340246) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687127) |
| 363LF0000X Nurse Practitioner Family (Licence: MA RN2338100) | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2024-02-05 |