| NPI | 1497051072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN278406) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 067538-23) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 198768) | |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2023-11-17 |