| NPI | 1003462334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2332909) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2332909.) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-09-18 |