| NPI | 1467836148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2314728) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 686510) |
| 163W00000X Registered Nurse (Licence: NJ 26NR17494600) | |
| 163W00000X Registered Nurse (Licence: NY 6865101) | |
| 163W00000X Registered Nurse (Licence: DC RN1023590) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2019-10-23 |