| NPI | 1255982484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2368941) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2368941) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NC 266604) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC F09191895) | |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2024-02-10 |