| NPI | 1235740937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2296790) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2296790) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2021-02-04 |