| NPI | 1407574833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2339634) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704401441) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2023-11-02 |