| NPI | 1528509585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN233388) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9173616) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2025-09-23 |