| NPI | 1548977135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 084858-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2347512) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2347512) | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2025-03-11 |