| NPI | 1629556089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2277505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 066645-23) |
| Enumeration Date | 2018-07-29 |
| Last Update Date | 2023-04-17 |