| NPI | 1689240038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2286559) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2021031217) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2022-02-24 |