| NPI | 1093508954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2349929) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI RN79544) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |