| NPI | 1679873145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN251531) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 251531) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2023-03-23 |