| NPI | 1053961847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2333722) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2333722) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2333722) | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2022-08-11 |