| NPI | 1699336875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN276099) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN276099) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN276088) | |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2022-10-11 |