| NPI | 1710138268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9432150) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NJ001666) |
| 363L00000X Nurse Practitioner (Licence: MA RN2359345) | |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2024-03-13 |