| NPI | 1053835975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 060308-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN276072) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2025-05-20 |