| NPI | 1891333571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN258564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO09494600) |
| 163W00000X Registered Nurse (Licence: MA 258564) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NO09494600) | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-29 |