| NPI | 1275524639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 216603) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 044233-23) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2025-01-14 |