| NPI | 1417433186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2325145) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2325145) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: MA RN2325145) | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2022-09-09 |