| NPI | 1508035247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 278837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 278837) |
| 363LC1500X Nurse Practitioner Community Health (Licence: MA 278837) | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2025-04-09 |