| NPI | 1639860950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2353547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN235347) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 2353547) | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |