| 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 |