| NPI | 1134876139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2361253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2361253) |
| 163W00000X Registered Nurse (Licence: TN 248385) | |
| 363L00000X Nurse Practitioner (Licence: TN 31308) | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-05-17 |