| NPI | 1437725801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2327970) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MA RN2327970) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-08-12 |