| NPI | 1912724279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2287695) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH 069010-23) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-10-10 |