| NPI | 1225549025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2274785) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2274785) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2023-10-30 |