| NPI | 1336974906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2297494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 073631-21) |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |