| NPI | 1578309548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2343213) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2343213) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-10-11 |