| NPI | 1285074278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2366571) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 071464-23) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2024-04-30 |