| NPI | 1013514173 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2300740)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2300740)  | 
| Enumeration Date | 2020-10-02 | 
| Last Update Date | 2021-09-16 |