| NPI | 1861064768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2348052) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2348052) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2022-09-14 |