| NPI | 1609123926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 253665) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 087770-23) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2022-07-06 |