| NPI | 1528506235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2306575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2306575) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2306575) | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2023-06-19 |