| NPI | 1598309023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004558) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 12708) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA APRN10002250) | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2025-09-03 |