| NPI | 1497573067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2344751) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA R2344751) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-11-01 |