| NPI | 1295305233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2288031) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 081315-23) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2025-01-17 |