| NPI | 1861156663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2308452) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2308452) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2023-08-15 |