| NPI | 1376258061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2301677) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2301677) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-05-23 |