| NPI | 1427161454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN266125) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 526340) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F334992-1) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2012-06-12 |