| NPI | 1770205478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2307797) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 078426-23) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-04-25 |