| NPI | 1871182980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN170622) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 032492-23) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2025-04-15 |