| NPI | 1538705736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2298126) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA 2298126) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2023-04-18 |