| NPI | 1780986398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN273545) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 229422) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2022-05-20 |