| NPI | 1043876345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: MA RN2321723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2321723) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2021-11-08 |