| NPI | 1043990351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA CNPNE10000856) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN2356484) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2024-07-17 |