| NPI | 1104491166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2391500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013265) |
| Enumeration Date | 2021-05-23 |
| Last Update Date | 2025-03-10 |