| NPI | 1518577626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2312845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2312845) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2022-07-19 |