| NPI | 1033897731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2358133) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2358133) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-10-02 |