| NPI | 1447244694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 147663) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN147663) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2023-10-25 |