| NPI | 1497579957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MA RN2385984) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2269028) |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2025-05-22 |