| NPI | 1679301196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN10027150) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1169707) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2025-12-10 |