| NPI | 1699290718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2263064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 7150) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 7150) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2023-07-12 |