| NPI | 1295320943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2302789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN230879) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2023-06-16 |