| NPI | 1437983285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2302317) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: MA RN2302317) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-11-14 |