| NPI | 1043718083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2298940) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA MA2298940) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2024-09-18 |