| NPI | 1588131718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2320148) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2320148) |
| 163W00000X Registered Nurse (Licence: MA RN2320148) | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2024-02-21 |