| NPI | 1184181380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2298520) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA AG07180344) |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2021-11-09 |