| NPI | 1922766211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2339933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2339933) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2022-05-16 |