| NPI | 1497061535 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2258816) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP50001660) | 
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12966) | |
| Enumeration Date | 2010-08-26 | 
| Last Update Date | 2025-08-06 |