| NPI | 1508892001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN206958) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 051433-23-02) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2025-02-18 |