| NPI | 1912534686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA F07201361) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN22573550) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-11-27 |