| NPI | 1750765046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN256631) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN256631) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2024-02-22 |