| NPI | 1588280440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2330731) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2330731) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2021-01-18 |