| NPI | 1245024017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2361046) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN51755) |
| 163W00000X Registered Nurse (Licence: MA RN2361046) | |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-06-18 |