| NPI | 1659894285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2322861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN679875) |
| 163W00000X Registered Nurse (Licence: DE L1-0049613) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR19069700) | |
| 163W00000X Registered Nurse (Licence: MA RN2322861) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-04-27 |