| NPI | 1396368676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2360935) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.008860) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2022-12-13 |