| NPI | 1811257215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2280660) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH 055144-23) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2024-08-05 |