| NPI | 1285230888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN261144) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2020066953) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2022-09-26 |