| NPI | 1023602158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33829) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2323244) |
| 163W00000X Registered Nurse (Licence: FL RN9426520) | |
| 363L00000X Nurse Practitioner (Licence: MA RN2323244) | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2023-10-22 |