| NPI | 1861119554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2318799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 808028) |
| 163W00000X Registered Nurse (Licence: MA RN2318799) | |
| 363L00000X Nurse Practitioner (Licence: MA RN2318799) | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2024-10-04 |