| NPI | 1033635388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA F07191506) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MA RN2299048) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2025-01-08 |