| NPI | 1598355307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2311024) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MA RN2311024) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2023-03-17 |