| NPI | 1023270626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA MA271490) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN271490) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN271490) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2021-06-09 |