| NPI | 1023703345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2340048) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: MA 2340048) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-06-23 |