| NPI | 1487904389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340759) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2269786) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2016-09-15 |