| NPI | 1982128856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2359237) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 7116) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-02-23 |