| NPI | 1043319783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2307310) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 055251-23-03) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-10-04 |