| NPI | 1548772015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2297234) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2297234) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2021-11-30 |