| NPI | 1720723844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2358161) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA RN2358161) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2358161) | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2023-11-06 |