| NPI | 1396518130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse Ambulatory Care (Licence: MA RN2344180) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MA RN2344180) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2024-04-13 |