| NPI | 1326551904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN251799) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MA RN251799) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2024-08-17 |