| NPI | 1841976511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2266440) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2266440) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2025-06-18 |