| NPI | 1366064453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2361265) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014520) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2023-08-01 |