| NPI | 1194770289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health (Licence: MA RN258399) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 722128) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-07-21 |