| NPI | 1952291643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2308944) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2308944) |
| 363L00000X Nurse Practitioner (Licence: MA RN2308944) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2308944) | |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-09-09 |