| NPI | 1003539156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA RN2280679) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2280679) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MA RN2280679) | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2025-05-20 |