| NPI | 1487435244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2388545) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 082502-23) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-03-01 |