| NPI | 1437849452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2301952) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2301952) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-07-11 |