| NPI | 1558526723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2270736) |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2020-06-25 |