| NPI | 1790725786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2318230) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 112226) |
| 163WH1000X Registered Nurse, Hospice (Licence: MA 2318230) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2024-03-07 |