| NPI | 1730892068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2301000) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN03830) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA RN2301000) | |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2025-10-08 |