| NPI | 1447660246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN271828) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 271828) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2022-10-26 |