| NPI | 1083508402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2341097) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 14287) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-09-12 |