| NPI | 1366856387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN227469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338824) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2025-02-11 |