| NPI | 1710013479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 180262) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN180262) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2024-11-27 |