| NPI | 1548993256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2285735) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2285735) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2024-07-18 |