| NPI | 1992311401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2330333) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA RN2330333) |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2022-02-03 |