| NPI | 1912367145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2292721) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 690028) |
| 163W00000X Registered Nurse (Licence: NJ 26NR17964000) | |
| 163W00000X Registered Nurse (Licence: MA RN2292721) | |
| 163W00000X Registered Nurse (Licence: DC RN1019717) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308106) | |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2019-02-12 |