| NPI | 1760909105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2306057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 2306057) |
| Enumeration Date | 2017-08-26 |
| Last Update Date | 2024-05-22 |