| NPI | 1992259741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2302757) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2302757) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95024813.) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2024-08-21 |