| NPI | 1922547819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN271186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN271186) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2023-07-17 |