| NPI | 1144960634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2273099) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA F03220751) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2024-09-09 |