| NPI | 1184391724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2327968) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA F02220658) |
| 163W00000X Registered Nurse (Licence: MA 2327968) | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-10-01 |