| NPI | 1821110917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 304793) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 265854) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN265854) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2024-01-17 |