| NPI | 1407431182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2295796) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2295796) |
| Enumeration Date | 2021-03-14 |
| Last Update Date | 2024-02-08 |