| NPI | 1992488043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2301698) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2301698) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MA RN2301698) | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2025-06-12 |