| NPI | 1528446085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2300212) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 064956-23) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2022-03-31 |