| NPI | 1972365088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2363318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2363318) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-02-06 |