| NPI | 1285190645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2347653) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4653) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2023-04-11 |