| NPI | 1376631325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 170596) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 170596) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-01-19 |