| NPI | 1871894733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2334539) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP005250B) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 332390-1) | |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2024-01-12 |