| NPI | 1942399241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 231684) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 200750098NP) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-12-20 |