| NPI | 1205338316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2300898) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA 2300898) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2021-10-27 |