| NPI | 1548628787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2345717) |
| Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: NY 698814) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY 308093) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2022-09-05 |