| NPI | 1902038268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN250826) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 20090061365) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2024-10-04 |