| NPI | 1326782764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN265702) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI 03168) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 265702) | |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2024-04-17 |