| NPI | 1669019972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN233921) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: MA RN233921) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |