| NPI | 1003408360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2338131) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NH 054849-21) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-09-24 |