| NPI | 1952542607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN250417) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305084) |
| 163W00000X Registered Nurse (Licence: NY 609966) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2023-04-11 |