| NPI | 1265243455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2273443) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2273443) |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2026-07-21 |