| NPI | 1083399984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2318036) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MA RN2318036) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-08-01 |