| NPI | 1821760372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN234911) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA 234911) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2023-12-02 |