| NPI | 1336822253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2331508) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MA RN2331508) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-09-27 |