| NPI | 1497458798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN280502) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA F11220259) |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-04-10 |