| NPI | 1245881473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN-TEMP12782) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1108580) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004179) | |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2023-03-20 |