| NPI | 1023689429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health (Licence: MA F06211214) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA F06211214) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |