| NPI | 1861843989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2356314) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3292) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60676448) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2025-08-13 |