| NPI | 1811365307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 078157-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN284753) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2025-12-10 |