| NPI | 1639174535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN124491) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: MA 124491) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2024-07-25 |