| NPI | 1871119628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2390906) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2390906) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007401) | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2024-05-20 |