| NPI | 1568457083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 207263) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 112096-23) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2025-01-07 |