| NPI | 1609371061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MA 2282411) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 2282411) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-06-21 |