| NPI | 1285032813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN273031) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN273031) |
| 163W00000X Registered Nurse (Licence: MA RN273031) | |
| Enumeration Date | 2014-12-14 |
| Last Update Date | 2024-08-07 |