| NPI | 1699475236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2317926) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2317926) |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2024-09-19 |