| NPI | 1124565171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2306800) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA RN2306800) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2022-09-01 |