| NPI | 1255985727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2321155) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 072061-23) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2024-01-03 |