| NPI | 1376971838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN262875) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201393178NP-PP) |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2024-05-24 |