| NPI | 1770547424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 036928-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 182929) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN182929) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2026-07-21 |