| NPI | 1316193634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 322055) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN267552) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2023-12-05 |