| NPI | 1336981976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2316044) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA RN2316044) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2025-08-18 |