| NPI | 1144964164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2294026) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA f12200141) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-09-13 |