| NPI | 1538931753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2316134) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA F10230625) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2024-04-05 |