| NPI | 1790407138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA rn2321387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 067074-23) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-10-03 |