| NPI | 1427603851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2283949) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2283949) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2024-09-10 |