| NPI | 1316388192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 7522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657363) |
| 163W00000X Registered Nurse (Licence: MA RN2303184) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY F338496) | |
| 363LF0000X Nurse Practitioner Family (Licence: MA RN2303184) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2022-02-23 |