| NPI | 1376824219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337333) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 337333) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2270587) | |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2023-05-04 |