| NPI | 1467977082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA 268153) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN268153) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-09-28 |