| NPI | 1639539083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2266042) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2266042) |
| Enumeration Date | 2016-02-28 |
| Last Update Date | 2025-05-06 |