| NPI | 1528536828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN236363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 733221) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F349028-01) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2023-12-14 |