| NPI | 1922550557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: MA 2272861) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2272861) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2272861) | |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2022-10-11 |