| NPI | 1477105559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2335411) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F344655-01) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-10-18 |