| NPI | 1417406976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2298221) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 2298221) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95011726) | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2024-02-13 |