| NPI | 1134645997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2310311) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 088181-23) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2024-01-09 |