| NPI | 1811323207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN391892) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 524776-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 351345) | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2024-03-28 |