| NPI | 1962027813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN233086) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: MA RN233086) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2023-04-13 |