| NPI | 1457196651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2310207) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2310207) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2025-01-31 |