| NPI | 1275048308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006128) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2304191) |
| 163W00000X Registered Nurse (Licence: MA RN2304191) | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2025-10-08 |