| NPI | 1164024931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2316673) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95175743) |
| 163W00000X Registered Nurse (Licence: MA RN2316673) | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2023-08-18 |