| NPI | 1689007924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2276918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 076676-23) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2276918) | |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2023-12-19 |