| NPI | 1033727599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN259724) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA 259724) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2023-03-09 |