| NPI | 1528471745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2340503) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV APRN002831) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2022-09-29 |