| NPI | 1174258297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2284578) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA 2284578) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03920) | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2024-06-20 |