| NPI | 1619710381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2360765) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN500009319) |
| 163W00000X Registered Nurse (Licence: MA RN2360765) | |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-11-16 |