| NPI | 1164904181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 2318250) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2318250) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2025-04-10 |