| NPI | 1780378406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN10011774) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95023334) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2025-03-14 |