| NPI | 1790410272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2348070) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 084992-23) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2024-03-06 |