| NPI | 1407390636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2342663) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9303866) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2020-10-28 |