| NPI | 1124750492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2293780) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA rn2299780) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA F07220594) | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2023-04-17 |