| NPI | 1376010314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA RN10008251) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000393) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2025-11-18 |