| NPI | 1578073128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: MA RN285354) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01710) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2020-06-30 |