| NPI | 1700930724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN191097) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R876010) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2025-04-21 |