| NPI | 1952066946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN271421) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA 271421) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2024-09-20 |