| NPI | 1447806831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2299269) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8302) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2023-03-06 |