| NPI | 1437745957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2339907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2339907) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2022-12-09 |