| NPI | 1457950693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2287464) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 072531-23) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2022-03-15 |