| NPI | 1568820595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 086867-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2262174) |
| 163W00000X Registered Nurse (Licence: MA RN2262174) | |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2023-09-13 |