| NPI | 1639159783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA 233927) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 233927) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2024-05-28 |