| NPI | 1003337205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2385399) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134297) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2024-06-18 |