| NPI | 1184090573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2291864) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2291864) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-05-21 |