| NPI | 1679905145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2277618) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95001031) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2024-02-26 |