| NPI | 1396452306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2300922) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA F10220704) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2024-04-16 |