| NPI | 1639180037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 261846) |
| Additional Taxonomies | 163WX0601X Registered Nurse, Otorhinolaryngology & Head-Neck (Licence: MA 261846) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-12-30 |