| NPI | 1669612883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN230394) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NH 050624-23) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: MA RN230394) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 23094) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5270) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 050624-23) | |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2020-03-09 |