| NPI | 1235803412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2387658) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 221495) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2023-12-07 |