| NPI | 1891001053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2258904) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA rn2258904) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2026-06-04 |