| NPI | 1386918282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2310928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F337113-1) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2021-07-02 |