| NPI | 1912450966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2281066) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 9439) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2025-03-12 |