| NPI | 1013451921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2287384) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 068603-23) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2022-05-25 |