| NPI | 1215435912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2294514) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA RN2294514) |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2019-01-28 |