| NPI | 1992322655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN276952) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN276952) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2024-09-17 |