| NPI | 1720461957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2272604) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2272664) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 22 687634) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY RN2272664) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2018-04-06 |