| NPI | 1023351293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN277615) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN277615) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 277615) | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2022-10-31 |