| NPI | 1265014898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2278916) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 2278916) |
| 363L00000X Nurse Practitioner (Licence: MA 2278916) | |
| 163W00000X Registered Nurse (Licence: MA 2278916) | |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2022-03-07 |