| NPI | 1811549355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343895) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2329847) |
| 163W00000X Registered Nurse (Licence: NY 669935) | |
| 163W00000X Registered Nurse (Licence: MA RN2329847) | |
| 163W00000X Registered Nurse (Licence: CT 157045) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 8012) | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2020-08-04 |