| NPI | 1578172243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2279459) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 2019045342) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2022-12-20 |