| NPI | 1083952840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN276762) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN276762) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2025-07-29 |