| NPI | 1679302160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2358063) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: MA RN2358063) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-12-02 |