| NPI | 1952988305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2303185) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2303185) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 2303185) | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-05-01 |