| NPI | 1063059426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2295941) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2295941) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2295941) | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2024-10-24 |