| NPI | 1376144741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2277963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2277963) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2023-01-31 |