| NPI | 1720794514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2293376) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH 070317-23) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-02-02 |