| NPI | 1881365773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2313189) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2313189) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-11-29 |