| NPI | 1609494418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2295399) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012947) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2023-03-08 |