| NPI | 1548922875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2327535) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2327535) |
| 163W00000X Registered Nurse (Licence: MA RN2327535) | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2024-08-08 |