| NPI | 1972251817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2273512) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA F03210086) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-04-14 |