| NPI | 1568000305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2317703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2317703) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2021-12-07 |