| NPI | 1821773136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2348703) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2348703) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-08-11 |