| NPI | 1780310227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2268377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2268377) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2023-04-27 |