| NPI | 1518684109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2333534) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA rn2333534) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2024-10-04 |