| NPI | 1245476506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN274532) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 058381-23) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2024-04-05 |