| NPI | 1922761238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN276839) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 276839) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2024-03-06 |