| NPI | 1871031427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2306949) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA RN2306949) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2020-11-26 |