| NPI | 1134575491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 066078-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 268588) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2025-08-25 |