| NPI | 1093424756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2262776) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2262776) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-01-19 |