| NPI | 1699310458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2299738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA RN2299738) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2023-02-14 |