| NPI | 1093206948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA F08170419) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 08170419) |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2023-07-13 |