| NPI | 1609252667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN275673) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.20321APRN) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2022-07-21 |