| NPI | 1750935292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2341434) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R239794) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2020-10-26 |