| NPI | 1770720930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2270126) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305051) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420909) | |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2014-07-11 |