| NPI | 1114256674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN256855) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026234) |
| Enumeration Date | 2009-12-12 |
| Last Update Date | 2026-04-09 |