| NPI | 1659607398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA rn 253963) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN253963) |
| Enumeration Date | 2009-10-31 |
| Last Update Date | 2024-11-25 |