| NPI | 1356832786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2321703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2321703) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2025-03-17 |