| NPI | 1710551502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2350520) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2350520) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-02-07 |