| NPI | 1598239097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2384446) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F308921) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2023-09-21 |