| NPI | 1407570070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2337578) |
| Additional Taxonomies | 208VP0000X (Licence: MA RN2337578) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2025-11-17 |