| NPI | 1659925907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA AG06190202) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2293968) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2024-01-31 |