| NPI | 1649202441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA 244610) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MA 2313) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-06-10 |