| NPI | 1649813429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 008624) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: MA 2313624) |
| 363L00000X Nurse Practitioner (Licence: CT 8624) | |
| 363L00000X Nurse Practitioner (Licence: MA RN2313624) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2313624) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 8624) | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2022-11-22 |