| NPI | 1477562676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 204476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 204476) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-04-28 |