| NPI | 1629793385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2370771) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2370771) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2025-01-31 |