| NPI | 1700426657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN182790) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 30074) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 116700-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11034683) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 13737) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5016878) | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2026-03-04 |