| NPI | 1326499468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN268492) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN268492) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN268492) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2024-06-24 |