| NPI | 1497028419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA MCS009515B) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 590251) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F336459) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02004) | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2023-12-20 |