| NPI | 1871807057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23410) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2262077) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2262077) | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2024-08-21 |