| NPI | 1912459827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2279707) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 9239) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2023-10-19 |