| NPI | 1760038202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2294699) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA RN2294699) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2024-11-25 |