| NPI | 1124536537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2299613) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8539) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2022-09-12 |