| NPI | 1306597679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2310299) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2310299) |
| 207R00000X Internal Medicine (Licence: MA RN2310299) | |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2023-05-07 |