| NPI | 1831140987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN223799) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024192468) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2025-05-01 |