| NPI | 1568236446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2324964) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2324964) |
| 363L00000X Nurse Practitioner (Licence: MA RN2324964) | |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2025-08-09 |