| NPI | 1184355075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2335223) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA RN2335223) |
| 163W00000X Registered Nurse (Licence: MA RN2335223) | |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2024-05-22 |