| NPI | 1336550904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337968-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN244146) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-10-20 |