| NPI | 1932771201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2350704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2350704) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2023-11-28 |