| NPI | 1386303956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2350025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 076516-21) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 076516-23) | |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2025-01-14 |