| NPI | 1528284460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN10012280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2148462) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2024-08-26 |