| NPI | 1285100909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2365683) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2365683) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R228917) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1033715) | |
| Enumeration Date | 2018-10-20 |
| Last Update Date | 2024-03-27 |