| NPI | 1568871325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2289000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2289000) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2024-09-12 |