| NPI | 1447030283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 2024055766) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2371552) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2025-03-05 |