| NPI | 1649877705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN228748) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN228748) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2023-05-09 |