| NPI | 1245067958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2316774) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MA RN2316774) |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2025-05-22 |