| NPI | 1194168476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2390193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 005333) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2024-01-09 |