| NPI | 1962833889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN284036) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA NP284036) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2022-07-11 |