| NPI | 1902411820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2352338) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: FL 9439320) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 2352338) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11009677) | |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2024-02-26 |