| NPI | 1407417355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2288703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2288703) |
| 363L00000X Nurse Practitioner (Licence: NH 081443-23) | |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2024-04-24 |