| NPI | 1639807258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN284091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 083504-21) |
| 163W00000X Registered Nurse (Licence: MA RN284091) | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2024-02-15 |