| NPI | 1528682937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 101.0135610) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2328922) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2025-08-18 |