| NPI | 1588101570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA AG10220055) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN277627) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2023-10-07 |