| NPI | 1386249332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2274954) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2274954) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2023-02-03 |