| NPI | 1801633532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2357048) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 086652-21) |
| 163W00000X Registered Nurse (Licence: MA RN2357048) | |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-10-08 |