| NPI | 1346856499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA F10250849) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA RN2347070) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2025-12-11 |