| NPI | 1689173882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 079174-23) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2314140) |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2026-02-13 |