| NPI | 1639680788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2286744) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2286744) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9470758) | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-03-25 |