| NPI | 1902076102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA 2263381) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 335454) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2024-06-21 |