| NPI | 1598479248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2380007) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023643) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-09-18 |