| NPI | 1114477114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2260980) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: MA RN2260980) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2024-02-03 |