| NPI | 1417630542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2282376) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2282376) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2026-05-11 |