| NPI | 1962010371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA F11220920) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2258980) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2022-12-18 |