| NPI | 1053043117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2287790) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: MA RN2287790) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-09-15 |