| NPI | 1891103958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN283356) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 283356) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA RN283356) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2021-02-03 |