| NPI | 1528271681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F330116) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 000083) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2283951) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-06-16 |