| NPI | 1366834574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2314689) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 690247) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2021-03-22 |