| NPI | 1750954855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2022013097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2345834) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2022-08-07 |