| NPI | 1528650108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN10009817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP61317200) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5017598) | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2024-08-20 |