| NPI | 1497455372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2343270) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN23432770) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2024-05-09 |