| NPI | 1598245946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN256923) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191740) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R222567) | |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2025-07-10 |