| NPI | 1356620165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN267404) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6593) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2025-02-10 |