| NPI | 1659694768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN259264) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP2844702) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2023-01-11 |