| NPI | 1992320212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA F02200556) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: MA RN2304227) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2024-09-18 |